Genetic counseling in primary care: longitudinal, psychosocial issues in genetic diagnosis and counseling

Primary Care
Jeffrey R Martin, Adam S Wilikofsky

Abstract

Primary care clinicians have an essential role in genetic counseling.This role is distinct from the usual role of genetic counselors. First,primary care clinicans are often involved in the early stages of identifying who may benefit from genetic assessment, helping patients to decide when it is appropriate to pursue genetic information, and preparing them for consultation. Second, the styles of counseling and guidance common in generalist practice are different from the nondirective approach espoused in genetic counseling. Third, primary care clinicians often have a working knowledge of the patient's family, the context in which genetic information has its impact. They are likely to care for family members in addition to the identified patient,and may be well-positioned to adopt a family-based approach to managing genetic risk. Finally, primary care involves a longitudinal perspective, in which genetic information (the family history, for example) takes on new meaning and sometimes more urgency, as diseases progress, family members are newly diagnosed, and patients enter new phases of the life cycle. Patient continuity will play a pivotal role in the care and long-term management for individuals found to be at risk for genetic ...Continue Reading

References

May 23, 1990·JAMA : the Journal of the American Medical Association·B S Wilfond, N Fost
Aug 22, 1997·American Journal of Medical Genetics·M T ScheunerJ I Rotter
Oct 23, 1997·American Journal of Medical Genetics·S Kessler
Apr 8, 1998·BMJ : British Medical Journal·A L KinmonthS Pauker
Mar 17, 2001·Genetics in Medicine : Official Journal of the American College of Medical Genetics·M A Hall, S S Rich
Apr 11, 2001·Lancet·A Lucassen, M Parker
Apr 28, 2001·BMJ : British Medical Journal·J P EvansW Burke
Apr 28, 2001·BMJ : British Medical Journal·T M Marteau, C Lerman
May 22, 2001·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·J Emery
Nov 17, 2001·JAMA : the Journal of the American Medical Association·F S Collins, A E Guttmacher
Aug 13, 2002·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Paula W YoonMuin J Khoury
Sep 11, 2002·Clinical Genetics·J SpeiceS Loader
Feb 6, 2003·American Journal of Preventive Medicine·Paula W YoonMuin J Khoury
Mar 20, 2003·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Sandy Suther, Patricia Goodson
Apr 22, 2003·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·Susan K PetersonEllen R Gritz
Jun 10, 2003·American Journal of Medical Genetics. Part a·A N FreedmanR Ballard-Barbash
Jun 18, 2003·Community Genetics·Wylie BurkeModena Wilson
Sep 5, 2003·The New England Journal of Medicine·Alan E Guttmacher, Francis S Collins

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Citations

Sep 20, 2005·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Louise S AchesonStephen Zyzanski
Nov 13, 2008·Prenatal Diagnosis·Sajida NaseemFarhaan Vahidy
Apr 27, 2007·Nursing Ethics·Tarja NyrhinenHelena Leino-Kilpi
Oct 7, 2006·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·Matthew R G TaylorLisa Ku
Sep 15, 2017·BMC Medical Education·Michael S WilkesMichael J Green

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